Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

MERCY MEDICAL CTR

Springfield, MA · CCN 220066 · Rates published

Your selected procedure

You selected 29806 (CPT)

PR Arthroscopy Shoulder Surgical Capsulorrhaphy

This hospital’s price: $6,518 across 101 payers · range $392-$20,871

Source: https://hpt.trinity-health.org/043398280_the-mercy-hospital-inc_standardcharges.zip · observed 2026-03-31

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,861 distinct procedures filed
777 distinct payers
4,020,654 rate rows
2026-03-31 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hpt.trinity-health.org/043398280_the-mercy-hospital-inc_standardcharges.zip
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-22
Content fingerprint e7d7e01b0783662a… · 357,362,824 bytes · first seen 2026-05-13

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 69 $8,212.55 $385,052.41 $385,052.41 nat. median
$117,888
outlier · 3.3×
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 69 $8,212.55 $253,757.11 $253,757.11 nat. median
$87,098
outlier · 2.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $165,641.46 $460,659.94 $191,864.86 nat. median
$190,274
1.0× median
SUP-958196
CDM 		Console Cryo Smartfreeze 110 $392.00 $190,000.00 $177,251.00 nat. median
$132,074
1.3× median
SUP-235283
CDM 		Pump Heart Mate Ii Pckt Cntrl 110 $392.00 $175,000.00 $163,257.50 nat. median
$120,312
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $108,096.33 $301,126.39 $125,419.14 nat. median
$126,240
1.0× median
J7330
HCPCS 		Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 122 $392.00 $116,836.00 $108,996.30 nat. median
$73,852
1.5× median
SUP-962194
CDM 		Power Cntrl/ 5 Ellipsys Vas Caths 110 $392.00 $101,500.00 $94,689.35 nat. median
$61,940
1.5× median
23
APR_DRG 		Spinal Procedures,major 70 $8,212.55 $93,975.96 $93,537.14 nat. median
$111,079
0.8× median
SUP-878598
CDM 		Device Impella 5.5 Smartassist 110 $392.00 $90,000.00 $83,961.00 nat. median
$64,591
1.3× median
950
APR_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis,major 70 $8,212.55 $80,821.20 $76,654.50 nat. median
$29,202
outlier · 2.6×
169
APR_DRG 		Major Abdominal Vascular Procedures,moderate 70 $8,212.55 $160,882.82 $75,680.05 nat. median
$38,117
2.0× median
SUP-977545
CDM 		Kit Triclip G4 Sys W/any 3 Clips 110 $392.00 $78,000.00 $72,766.20 nat. median
$55,979
1.3× median
J9118
HCPCS 		Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 110 $392.00 $77,352.35 $72,162.01 nat. median
$197
outlier · 365.8×
756
APR_DRG 		Acute Anxiety And Stress Syndromes,extreme 70 $8,212.55 $68,668.72 $68,668.72 nat. median
$7,250
outlier · 9.5×
21
APR_DRG 		Open Craniotomy Except Trauma,moderate 70 $8,212.55 $64,319.32 $64,319.32 nat. median
$73,922
0.9× median
SUP-943847
CDM 		Valve Sapien Thv Edwards Resilia 23mm 110 $392.00 $68,000.00 $63,437.20 nat. median
$48,802
1.3× median
SUP-775386
CDM 		Implant Gammatile Therapy Device 6pk 110 $392.00 $67,840.00 $63,287.94 nat. median
$48,688
1.3× median
182
APR_DRG 		Other Upper Vascular Procedures,major 70 $8,212.55 $66,849.27 $63,093.99 nat. median
$30,741
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 28 $53,939.69 $150,986.78 $62,886.00 nat. median
$62,605
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 $53,675.13 $150,253.34 $62,580.52 nat. median
$63,874
1.0× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 111 $67.63 $65,142.90 $60,771.81 nat. median
$714
outlier · 85.2×
SUP-775558
CDM 		Intrdcr Lotus 23 Edge 110 $392.00 $65,000.00 $60,638.50 nat. median
$47,450
1.3× median
SUP-220542
CDM 		Valve Sapien 3 Thv 20mm W/command System 110 $392.00 $65,000.00 $60,638.50 nat. median
$46,286
1.3× median
SUP-960412
CDM 		Cage Capri Cerv Expand Corp W/set Screw 12x14mm 32-46mm 0deg 110 $392.00 $63,162.00 $58,923.83 nat. median
$38,544
1.5× median
175
APR_DRG 		Percutaneous Cardiac Intervention Without Ami,moderate 70 $8,212.55 $58,768.36 $58,768.36 nat. median
$27,720
outlier · 2.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 28 $50,216.40 $140,664.62 $58,586.82 nat. median
$59,289
1.0× median
SUP-130379
CDM 		Handpiece Electr Ster Disp Electrosurgical 110 $392.00 $62,510.70 $58,316.23 nat. median
$44,433
1.3× median
405
APR_DRG 		Other Procedures For Endocrine, Nutritional And Metabolic Disorders,major 69 $8,212.55 $57,685.64 $57,685.64 nat. median
$21,749
outlier · 2.7×
260
APR_DRG 		Major Pancreas, Liver And Shunt Procedures,moderate 70 $8,212.55 $57,281.59 $57,281.59 nat. median
$29,860
1.9× median
SUP-956570
CDM 		Pascal Precision System Mitral 110 $392.00 $61,200.00 $57,093.48 nat. median
$43,922
1.3× median
SUP-977299
CDM 		Heart Aortic Evolut Fx+ 29mm 110 $392.00 $60,775.00 $56,697.00 nat. median
$43,617
1.3× median
SUP-977300
CDM 		Heart Aortic Evolut Fx+ 34mm 110 $392.00 $60,615.38 $56,548.09 nat. median
$43,503
1.3× median
SUP-977297
CDM 		Heart Aortic Evolut Fx+ 23mm 110 $392.00 $60,611.54 $56,544.51 nat. median
$43,500
1.3× median
SUP-977298
CDM 		Heart Aortic Evolut Fx+ 26mm 110 $392.00 $60,085.72 $56,053.97 nat. median
$43,122
1.3× median
SUP-232785
CDM 		Valve Aort 23mm Pro Perc 110 $392.00 $60,000.00 $55,974.00 nat. median
$42,726
1.3× median
SUP-748688
CDM 		Kit Mitraclip 1 Mbr0101 110 $392.00 $60,000.00 $55,974.00 nat. median
$43,061
1.3× median
SUP-220532
CDM 		Valve Aort 23mm Evolutr 110 $392.00 $60,000.00 $55,974.00 nat. median
$42,726
1.3× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Ther 131 $392.00 $136,378.92 $55,880.37 nat. median
$63,915
0.9× median
325
APR_DRG 		Non-elective Or Complex Knee Joint Replacement,minor 70 $8,212.55 $53,750.84 $53,750.84 nat. median
$32,859
1.6× median
SUP-968130
CDM 		Implant Bear 110 $392.00 $57,557.38 $53,695.28 nat. median
$34,629
1.6× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 26 $51,008.40 $124,918.54 $53,090.38 nat. median
$48,569
1.1× median
SUP-211836
CDM 		Cath Impella Ld 110 $392.00 $56,000.00 $52,242.40 nat. median
$40,880
1.3× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 28 $44,478.90 $124,758.43 $51,961.89 nat. median
$49,857
1.0× median
SUP-787598
CDM 		Implant Gammatile Therapy Device 4pk 110 $392.00 $55,120.00 $51,421.45 nat. median
$39,559
1.3× median
443
APR_DRG 		Kidney And Urinary Tract Procedures For Non-malignancy,major 70 $8,212.55 $51,331.87 $51,331.87 nat. median
$13,934
outlier · 3.7×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 $43,874.09 $123,081.70 $51,263.53 nat. median
$50,495
1.0× median
834
MS_DRG 		Acute Leukemia With Mcc 30 $4,000.00 $120,223.68 $50,073.16 nat. median
$50,311
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 28 $42,691.78 $119,803.97 $49,898.35 nat. median
$50,653
1.0× median
C1825
HCPCS 		Kit Barostim Neo2 System Ipg Model Csl Comb 111 $392.00 $67,250.00 $48,510.80 nat. median
$53,151
0.9× median

Other procedures at this hospital

Browse this hospital's 9,861 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 71 69 — — $8,212.55 $385,052.41 $385,052.41 2026-03-31
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 71 69 — — $8,212.55 $253,757.11 $253,757.11 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 28 — $287,732.63 $165,641.46 $460,659.94 $191,864.86 2026-03-31
SUP-958196 CDM Console Cryo Smartfreeze 113 110 $190,000.00 $123,500.00 35% off $392.00 $190,000.00 $177,251.00 2026-03-31
SUP-235283 CDM Pump Heart Mate Ii Pckt Cntrl 113 110 $175,000.00 $113,750.00 35% off $392.00 $175,000.00 $163,257.50 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 28 — $268,977.47 $108,096.33 $301,126.39 $125,419.14 2026-03-31
J7330 HCPCS Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 127 122 $116,836.00 $75,943.40 35% off $392.00 $116,836.00 $108,996.30 2026-03-31
SUP-962194 CDM Power Cntrl/ 5 Ellipsys Vas Caths 113 110 $101,500.00 $65,975.00 35% off $392.00 $101,500.00 $94,689.35 2026-03-31
23 APR_DRG Spinal Procedures,major 73 70 — — $8,212.55 $93,975.96 $93,537.14 2026-03-31
SUP-878598 CDM Device Impella 5.5 Smartassist 113 110 $90,000.00 $58,500.00 35% off $392.00 $90,000.00 $83,961.00 2026-03-31
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,major 73 70 — — $8,212.55 $80,821.20 $76,654.50 2026-03-31
169 APR_DRG Major Abdominal Vascular Procedures,moderate 143 70 — — $8,212.55 $160,882.82 $75,680.05 2026-03-31
SUP-977545 CDM Kit Triclip G4 Sys W/any 3 Clips 113 110 $78,000.00 $50,700.00 35% off $392.00 $78,000.00 $72,766.20 2026-03-31
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 113 110 $77,352.35 $77,352.35 $392.00 $77,352.35 $72,162.01 2026-03-31
756 APR_DRG Acute Anxiety And Stress Syndromes,extreme 73 70 — — $8,212.55 $68,668.72 $68,668.72 2026-03-31
21 APR_DRG Open Craniotomy Except Trauma,moderate 73 70 — — $8,212.55 $64,319.32 $64,319.32 2026-03-31
SUP-943847 CDM Valve Sapien Thv Edwards Resilia 23mm 113 110 $68,000.00 $44,200.00 35% off $392.00 $68,000.00 $63,437.20 2026-03-31
SUP-775386 CDM Implant Gammatile Therapy Device 6pk 113 110 $67,840.00 $44,096.00 35% off $392.00 $67,840.00 $63,287.94 2026-03-31
182 APR_DRG Other Upper Vascular Procedures,major 73 70 — — $8,212.55 $66,849.27 $63,093.99 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 28 — $80,891.70 $53,939.69 $150,986.78 $62,886.00 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 28 — $62,250.16 $53,675.13 $150,253.34 $62,580.52 2026-03-31
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 116 111 $65,142.90 $65,142.90 $67.63 $65,142.90 $60,771.81 2026-03-31
SUP-775558 CDM Intrdcr Lotus 23 Edge 113 110 $65,000.00 $42,250.00 35% off $392.00 $65,000.00 $60,638.50 2026-03-31
SUP-220542 CDM Valve Sapien 3 Thv 20mm W/command System 113 110 $65,000.00 $42,250.00 35% off $392.00 $65,000.00 $60,638.50 2026-03-31
SUP-960412 CDM Cage Capri Cerv Expand Corp W/set Screw 12x14mm 32-46mm 0deg 113 110 $63,162.00 $41,055.30 35% off $392.00 $63,162.00 $58,923.83 2026-03-31
175 APR_DRG Percutaneous Cardiac Intervention Without Ami,moderate 73 70 — — $8,212.55 $58,768.36 $58,768.36 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 28 — $67,397.17 $50,216.40 $140,664.62 $58,586.82 2026-03-31
SUP-130379 CDM Handpiece Electr Ster Disp Electrosurgical 113 110 $62,510.70 $40,631.95 35% off $392.00 $62,510.70 $58,316.23 2026-03-31
405 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders,major 71 69 — — $8,212.55 $57,685.64 $57,685.64 2026-03-31
260 APR_DRG Major Pancreas, Liver And Shunt Procedures,moderate 73 70 — — $8,212.55 $57,281.59 $57,281.59 2026-03-31
SUP-956570 CDM Pascal Precision System Mitral 113 110 $61,200.00 $39,780.00 35% off $392.00 $61,200.00 $57,093.48 2026-03-31
SUP-977299 CDM Heart Aortic Evolut Fx+ 29mm 113 110 $60,775.00 $39,503.75 35% off $392.00 $60,775.00 $56,697.00 2026-03-31
SUP-977300 CDM Heart Aortic Evolut Fx+ 34mm 113 110 $60,615.38 $39,400.00 35% off $392.00 $60,615.38 $56,548.09 2026-03-31
SUP-977297 CDM Heart Aortic Evolut Fx+ 23mm 113 110 $60,611.54 $39,397.50 35% off $392.00 $60,611.54 $56,544.51 2026-03-31
SUP-977298 CDM Heart Aortic Evolut Fx+ 26mm 113 110 $60,085.72 $39,055.72 35% off $392.00 $60,085.72 $56,053.97 2026-03-31
SUP-232785 CDM Valve Aort 23mm Pro Perc 113 110 $60,000.00 $39,000.00 35% off $392.00 $60,000.00 $55,974.00 2026-03-31
SUP-748688 CDM Kit Mitraclip 1 Mbr0101 113 110 $60,000.00 $39,000.00 35% off $392.00 $60,000.00 $55,974.00 2026-03-31
SUP-220532 CDM Valve Aort 23mm Evolutr 113 110 $60,000.00 $39,000.00 35% off $392.00 $60,000.00 $55,974.00 2026-03-31
A9543 HCPCS Yttrium Y-90 Ibritumomab Ther 136 131 $55,035.00 $55,035.00 $392.00 $136,378.92 $55,880.37 2026-03-31
325 APR_DRG Non-elective Or Complex Knee Joint Replacement,minor 73 70 — — $8,212.55 $53,750.84 $53,750.84 2026-03-31
SUP-968130 CDM Implant Bear 113 110 $57,557.38 $37,412.30 35% off $392.00 $57,557.38 $53,695.28 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 27 26 — $71,966.47 $51,008.40 $124,918.54 $53,090.38 2026-03-31
SUP-211836 CDM Cath Impella Ld 113 110 $56,000.00 $36,400.00 35% off $392.00 $56,000.00 $52,242.40 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 28 — $26,211.35 $44,478.90 $124,758.43 $51,961.89 2026-03-31
SUP-787598 CDM Implant Gammatile Therapy Device 4pk 113 110 $55,120.00 $35,828.00 35% off $392.00 $55,120.00 $51,421.45 2026-03-31
443 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy,major 73 70 — — $8,212.55 $51,331.87 $51,331.87 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 28 — $34,061.75 $43,874.09 $123,081.70 $51,263.53 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 31 30 — $9,002.73 $4,000.00 $120,223.68 $50,073.16 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 28 — $65,335.00 $42,691.78 $119,803.97 $49,898.35 2026-03-31
C1825 HCPCS Kit Barostim Neo2 System Ipg Model Csl Comb 229 111 $67,250.00 $43,712.50 35% off $392.00 $67,250.00 $48,510.80 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 27 26 — $26,558.78 $46,498.46 $113,873.78 $48,396.36 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 29 28 — $51,322.06 $41,176.25 $115,602.41 $48,148.40 2026-03-31
231 APR_DRG Major Large Bowel Procedures,extreme 217 70 — — $8,212.55 $138,361.05 $47,851.30 2026-03-31
SUP-937190 CDM Generator 16 Channel Octrode Ipg 113 110 $51,221.14 $33,293.74 35% off $392.00 $51,221.14 $47,784.20 2026-03-31
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System,moderate 73 70 — — $8,212.55 $47,616.26 $47,616.26 2026-03-31
171 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,moderate 73 70 — — $8,212.55 $47,595.14 $47,595.14 2026-03-31
SUP-777716 CDM Synergraft Pulm Valve + Condui 113 110 $50,500.00 $32,825.00 35% off $392.00 $50,500.00 $47,111.45 2026-03-31
230 APR_DRG Major Small Bowel Procedures,major 287 70 — — $8,212.55 $127,458.21 $46,779.13 2026-03-31
SUP-775387 CDM Implant Gammatile Therapy Device 3pk 113 110 $50,000.00 $32,500.00 35% off $392.00 $50,000.00 $46,645.00 2026-03-31
SUP-962396 CDM System Cap Setour Torus Stent Grafts 113 110 $50,000.00 $32,500.00 35% off $392.00 $50,000.00 $46,645.00 2026-03-31
SUP-976016 CDM Limflow System Arterial Catheter 113 110 $50,000.00 $32,500.00 35% off $392.00 $50,000.00 $46,645.00 2026-03-31
SUP-382358 CDM Set Pump Impella Cp 113 110 $50,000.00 $32,500.00 35% off $392.00 $50,000.00 $46,645.00 2026-03-31
SUP-976262 CDM System Optimizer Heart Pulse Strl 113 110 $49,000.00 $31,850.00 35% off $392.00 $49,000.00 $45,712.10 2026-03-31
947 MS_DRG Signs And Symptoms With Mcc 19 19 — $15,227.03 $44,671.20 $109,398.86 $45,564.63 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 29 28 — $67,781.88 $38,921.67 $109,351.99 $45,545.10 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 29 28 — $57,105.44 $38,609.51 $108,486.60 $45,184.67 2026-03-31
SUP-975298 CDM System Eternal Penta With Paddle Lead 113 110 $48,360.00 $31,434.00 35% off $392.00 $48,360.00 $45,115.04 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 28 — $38,210.83 $38,540.83 $108,296.21 $45,105.37 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 28 — $21,466.18 $38,408.95 $107,930.54 $44,953.07 2026-03-31
SUP-972642 CDM Valve Heart Navitor Radiopaque Marker 25mm 113 110 $48,000.00 $31,200.00 35% off $392.00 $48,000.00 $44,779.20 2026-03-31
SUP-972645 CDM Valve Heart Navitor Radiopaque Marker 35mm 113 110 $48,000.00 $31,200.00 35% off $392.00 $48,000.00 $44,779.20 2026-03-31
121 APR_DRG Other Respiratory And Chest Procedures,minor 289 70 — — $8,212.55 $127,526.40 $44,629.52 2026-03-31
SUP-970723 CDM Set Pump Cath Sys Rp Flex W/smart Assist 113 110 $47,502.10 $30,876.36 35% off $392.00 $47,502.10 $44,314.71 2026-03-31
SUP-972644 CDM Valve Heart Navitor Radiopaque Marker 29mm 113 110 $47,200.00 $30,680.00 35% off $392.00 $47,200.00 $44,032.88 2026-03-31
SUP-972643 CDM Valve Heart Navitor Radiopaque Marker 27mm 113 110 $47,000.00 $30,550.00 35% off $392.00 $47,000.00 $43,846.30 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 31 30 — $55,913.91 $36,042.77 $101,370.74 $43,082.57 2026-03-31
C1824 HCPCS Kit Ipg Optimizer Smart Mini 229 111 $52,000.00 $33,800.00 35% off $392.00 $52,000.00 $42,913.40 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 28 — $40,589.24 $36,614.81 $102,956.64 $42,881.44 2026-03-31
C1822 HCPCS Kit Hfx Iq Ipg Bundle 343 111 $45,794.28 $29,766.28 35% off $392.00 $47,508.00 $42,698.83 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 28 — $70,762.62 $35,871.09 $100,894.80 $42,022.68 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 31 30 — $45,962.07 $34,975.97 $98,413.27 $41,825.64 2026-03-31
SUP-937176 CDM Generator Implantable Proclaim 5 113 110 $44,754.00 $29,090.10 35% off $392.00 $44,754.00 $41,751.01 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 29 28 — $30,828.98 $35,498.05 $99,860.64 $41,591.96 2026-03-31
442 APR_DRG Kidney And Urinary Tract Procedures For Malignancy,moderate 73 70 — — $8,212.55 $41,589.96 $41,589.96 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 29 28 — $35,252.49 $35,482.45 $99,817.39 $41,573.94 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 19 19 — $19,168.69 $40,744.87 $99,783.36 $41,559.77 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 29 28 — $42,251.35 $34,965.82 $98,385.12 $40,977.40 2026-03-31
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,minor 73 70 — — $8,212.55 $40,425.37 $40,425.37 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 28 — $26,657.76 $34,281.41 $96,487.73 $40,187.14 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 30 — $30,639.47 $33,501.79 $94,326.36 $40,088.70 2026-03-31
342 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back,extreme 71 69 — — $8,212.55 $40,058.30 $40,058.30 2026-03-31
224 APR_DRG Peritoneal Adhesiolysis,moderate 145 70 — — $8,212.55 $56,911.88 $40,053.01 2026-03-31
548 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure,major 73 70 — — $8,212.55 $39,722.91 $39,722.91 2026-03-31
315 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement,moderate 74 70 — — $392.00 $39,717.63 $39,717.63 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 30 — $32,876.32 $32,789.29 $92,351.06 $39,249.20 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 28 — $47,077.02 $9,750.00 $92,818.39 $38,658.86 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 30 — $39,463.15 $32,195.40 $90,704.59 $38,549.45 2026-03-31
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,minor 287 70 — — $8,212.55 $135,372.95 $38,178.05 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 25 24 — $2,560.02 $4.17 $91,658.74 $38,175.86 2026-03-31
33289 CPT Pr Implementation Transcatheter Wireless Pulmonary Artery Pressure Sensor 131 126 $40,548.00 $26,356.20 35% off $392.00 $82,501.18 $37,827.23 2026-03-31
SUP-937183 CDM Proclaim Plus 7 Ipg Iphone Patient Controller 113 110 $40,436.66 $26,283.83 35% off $392.00 $40,436.66 $37,723.36 2026-03-31
180 APR_DRG Other Peripheral Vascular And Circulatory Procedures,moderate 73 70 — — $8,212.55 $37,639.32 $37,639.32 2026-03-31
SUP-211834 CDM Set Pump Impella 2.5 Aic 113 110 $40,000.00 $26,000.00 35% off $392.00 $40,000.00 $37,316.00 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 30 — $18,424.31 $31,091.92 $87,645.43 $37,249.31 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 30 — $27,507.36 $4,000.00 $88,432.94 $36,832.32 2026-03-31
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures,minor 145 70 — — $8,212.55 $52,282.56 $36,432.48 2026-03-31
305 APR_DRG Amputation Of Lower Limb Except Toes,moderate 145 70 — — $8,212.55 $54,688.33 $36,107.66 2026-03-31
SUP-548505 CDM System Mntr Heartmate Ii 113 110 $38,230.00 $24,849.50 35% off $392.00 $38,230.00 $35,664.77 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 29 28 — $37,506.95 $29,961.90 $84,512.64 $35,199.51 2026-03-31
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,moderat… 145 70 — — $8,212.55 $58,949.29 $35,067.18 2026-03-31
33231 CPT Hc Insertion Implantable Defibrillator Pulse Generator Only With Existing Multip… 129 125 $40,002.00 $26,001.30 35% off $392.00 $90,282.97 $35,057.32 2026-03-31
33264 CPT Pr Removal/Replacement Implantable Defibrillator Pg W/Lead Mult Lead System 129 125 $45,166.00 $29,357.90 35% off $392.00 $90,282.97 $35,057.32 2026-03-31
33249 CPT Pr Insertion/Replacement Implantable Defibrillator W/Lead Sgl/Dual Chamber 154 125 $45,690.00 $29,698.50 35% off $392.00 $90,282.97 $35,057.32 2026-03-31
33270 CPT Pr Insertion/Replacement Perm Subq Implantable Defibrillator W/Electrode 129 125 $42,332.00 $27,515.80 35% off $392.00 $90,282.97 $35,057.32 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 30 — $23,898.02 $29,169.01 $82,314.50 $34,983.66 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 28 — $27,034.10 $29,366.45 $82,861.87 $34,511.97 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 29 28 — $29,968.57 $29,165.89 $82,305.84 $34,280.38 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 28 — $41,131.29 $29,083.95 $82,078.68 $34,185.77 2026-03-31
SUP-756496 CDM Stent Graft Confrm Thor 34x34x15 22f 113 110 $36,580.00 $23,777.00 35% off $392.00 $36,580.00 $34,125.48 2026-03-31
233 APR_DRG Appendectomy With Complex Principal Diagnosis,moderate 73 70 — — $8,212.55 $34,124.42 $34,124.42 2026-03-31
793 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment,modera… 73 70 — — $8,212.55 $34,984.37 $34,063.68 2026-03-31
SUP-215756 CDM Stent Graft Prox 46x46x200mm Valiant Captivia Free Flo Str 113 110 $36,492.00 $23,719.80 35% off $392.00 $36,492.00 $34,043.39 2026-03-31
313 APR_DRG Knee And Lower Leg Procedures Except Foot,minor 74 70 — — $392.00 $33,799.60 $33,799.60 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 28 — $33,283.39 $28,653.17 $80,884.44 $33,688.37 2026-03-31
SUP-122716 CDM Set Bvs Bld Pump 32f 113 110 $36,000.00 $23,400.00 35% off $392.00 $36,000.00 $33,584.40 2026-03-31
SUP-751994 CDM Stent Valiant Navion Vnmc3434c182tu Coveredseal 175mm 113 110 $35,991.00 $23,394.15 35% off $392.00 $35,991.00 $33,576.00 2026-03-31
93653 CPT Pr Evaluation Electrophysiologic W/Ins Multi Electrode & Svt Ablation 131 126 $34,960.00 $22,724.00 35% off $392.00 $75,179.64 $33,507.32 2026-03-31
93654 CPT Pr Eval Electrophysiologic W/Ins Multi Electrode & Vt Abltn Tx Tachycardia 131 126 $34,960.00 $22,724.00 35% off $392.00 $75,179.64 $33,507.32 2026-03-31
93656 CPT Pr Eval Electrophysiologic Comprehensive Transeptal Cath 131 126 $34,960.00 $22,724.00 35% off $392.00 $75,179.64 $33,507.32 2026-03-31
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 19 19 — $35,957.25 $32,835.66 $80,413.87 $33,492.38 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 30 — $26,443.30 $27,867.30 $78,705.74 $33,449.94 2026-03-31
SUP-215747 CDM Stent Graft Prox 40x40x200mm Valiant Captivia Free Flo Str 113 110 $35,791.50 $23,264.47 35% off $392.00 $35,791.50 $33,389.89 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 29 28 — $55,883.14 $28,294.96 $79,891.37 $33,274.75 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 28 — $239,315.97 $28,186.49 $79,590.62 $33,149.49 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 28 — $34,054.13 $28,144.35 $79,473.79 $33,100.83 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 29 28 — $82,732.07 $27,895.40 $78,783.62 $32,813.38 2026-03-31
SUP-215703 CDM Stent Graft Closed 38x38x200mm Web Strght Valiant Captivia 113 110 $35,088.00 $22,807.20 35% off $392.00 $35,088.00 $32,733.60 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 31 30 — $32,051.16 $27,222.69 $76,918.66 $32,690.43 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 29 28 — $15,171.91 $27,776.00 $78,452.62 $32,675.51 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 28 — $27,673.93 $27,753.37 $78,389.86 $32,649.38 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 29 28 — $41,063.37 $27,521.59 $77,747.30 $32,381.75 2026-03-31
SUP-381140 CDM Stent Graft Prox 38x38x150mm 113 110 $34,620.00 $22,503.00 35% off $392.00 $34,620.00 $32,297.00 2026-03-31
SUP-905476 CDM Plug Cardiac Amulet Amplatzer 28mm 113 110 $34,528.00 $22,443.20 35% off $392.00 $34,528.00 $32,211.17 2026-03-31
SUP-962229 CDM Device Watchman Flx Pro Procedure 113 110 $34,470.00 $22,405.50 35% off $392.00 $34,470.00 $32,157.06 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 30 — $10,870.46 $26,755.23 $75,622.73 $32,139.66 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 29 28 — $23,357.16 $27,215.67 $76,899.19 $32,028.51 2026-03-31
SUP-215742 CDM Stent Graft Prox 36x36x150mm Valiant Captivia Free Flo Str 113 110 $34,287.76 $22,287.04 35% off $392.00 $34,287.76 $31,987.05 2026-03-31
192 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions,moderate 73 70 — — $8,212.55 $31,940.48 $31,940.48 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 29 28 — $30,011.89 $26,959.70 $76,189.58 $31,732.96 2026-03-31
SUP-973139 CDM Kit Freedom Pns Receiver W/tnes 1 Channel 113 110 $34,000.00 $22,100.00 35% off $392.00 $34,000.00 $31,718.60 2026-03-31
C2624 HCPCS System Cardiomems Pa Sensor And Deliv 3 Unit 457 111 $35,164.92 $22,857.20 35% off $392.00 $43,000.00 $31,718.60 2026-03-31
SUP-962231 CDM Device Clsur Watchman Flx Pro Laa 20mm 113 110 $34,000.00 $22,100.00 35% off $392.00 $34,000.00 $31,718.60 2026-03-31
SUP-215718 CDM Stent Graft Closed 44x44x200mm Web Strght Valiant Captivia 113 110 $33,741.00 $21,931.65 35% off $392.00 $33,741.00 $31,476.98 2026-03-31
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 116 111 $33,713.70 $33,713.70 $62.77 $33,713.70 $31,451.51 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 28 — $32,195.40 $26,624.13 $75,259.30 $31,345.50 2026-03-31
SUP-215746 CDM Stent Graft Prox 40x40x150mm Valiant Captivia Free Flo Str 113 110 $33,291.00 $21,639.15 35% off $392.00 $33,291.00 $31,057.17 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 31 30 — $44,075.02 $25,688.43 $72,665.21 $30,882.71 2026-03-31
37271 CPT Pr Revasc Envsc Opn/Perc Fem-pop Vasc Terr W/Tl Ath Uni Strfwd Init Ves 236 127 $49,431.00 $32,130.15 35% off $392.00 $52,726.81 $30,742.79 2026-03-31
37284 CPT Hc Revascularization Endovascular Tibial&Pero Terr W/Transluminal Stnt Uni Strgh… 207 101 $49,431.00 $32,130.15 35% off $392.00 $49,431.00 $30,742.79 2026-03-31
37273 CPT Hc Revascularization Endovascular Fem-pop Terr W/Transluminal Ath Uni Complex Le… 207 101 $32,954.00 $21,420.10 35% off $392.00 $49,431.00 $30,742.79 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 29 28 — $28,264.48 $26,070.04 $73,723.18 $30,705.70 2026-03-31
314 APR_DRG Foot And Toe Procedures,minor 287 70 — — $8,212.55 $73,390.47 $30,495.96 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 31 30 — $24,512.62 $25,210.04 $71,338.99 $30,319.07 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 29 28 — $49,698.60 $25,691.55 $72,673.85 $30,268.66 2026-03-31
110 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies,major 73 70 — — $8,212.55 $30,065.51 $30,065.51 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 31 30 — $36,753.41 $24,916.61 $70,525.51 $29,973.34 2026-03-31
C1735 HCPCS Cath Symplicity Spyral 115 111 $32,000.00 $20,800.00 35% off $392.00 $32,000.00 $29,852.80 2026-03-31
SUP-215670 CDM Stent Graft Closed 24x24x150mm Web Strght Valiant Captivia 113 110 $31,941.00 $20,761.65 35% off $392.00 $31,941.00 $29,797.76 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 31 30 — $18,932.35 $4,000.00 $71,436.36 $29,753.24 2026-03-31
SUP-381139 CDM Stent Graft Prox 40x40x100mm Valiant Captivia Free Flo Str 113 110 $31,812.00 $20,677.80 35% off $392.00 $31,812.00 $29,677.41 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 31 30 — $32,794.88 $24,660.64 $69,815.83 $29,671.73 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 31 30 — $61,771.57 $24,578.70 $69,588.65 $29,575.18 2026-03-31
SUP-960332 CDM Prolift Pl Expandable Interbody 8x28x8-13 Mm 7deg 113 110 $31,614.00 $20,549.10 35% off $392.00 $31,614.00 $29,492.70 2026-03-31
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 142 136 $89,232.75 $89,232.75 $392.00 $89,232.75 $29,365.20 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 29 28 — $26,220.30 $24,870.57 $70,397.83 $29,320.70 2026-03-31
665 MS_DRG Prostatectomy With Mcc 31 30 — $41,736.01 $24,357.84 $68,976.41 $29,314.97 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 29 28 — $17,968.28 $9,750.00 $70,330.80 $29,292.78 2026-03-31
SUP-969166 CDM Coil Web Sgl Layer 6x2mm 113 110 $31,340.50 $20,371.32 35% off $392.00 $31,340.50 $29,237.55 2026-03-31
403 APR_DRG Procedures For Obesity,minor 145 70 — — $8,212.55 $33,918.44 $29,215.17 2026-03-31
SUP-137567 CDM Connect Perf Y 1/2x3/8x3/8in Unequal 113 110 $31,258.02 $20,317.71 35% off $392.00 $31,258.02 $29,160.61 2026-03-31
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 125 120 $84,462.60 $84,462.60 $392.00 $84,462.60 $29,079.00 2026-03-31
229 APR_DRG Other Digestive System And Abdominal Procedures,minor 73 70 — — $8,212.55 $29,064.64 $29,064.64 2026-03-31
775 APR_DRG Alcohol Abuse And Dependence,major 287 70 — — $5,286.94 $109,183.88 $28,961.65 2026-03-31
SUP-973905 CDM Stent Ped3-027-450-25 V03 Vantage 113 110 $31,024.00 $20,165.60 35% off $392.00 $31,024.00 $28,942.29 2026-03-31
SUP-973913 CDM Stent Ped3-027-550-50 V03 Vantage 113 110 $31,024.00 $20,165.60 35% off $392.00 $31,024.00 $28,942.29 2026-03-31
691 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia,moderate 73 70 — — $8,212.55 $28,922.04 $28,922.04 2026-03-31
SUP-977301 CDM Pump Infuse 3000 Hepatic Artery 30ml Codman It Implant 113 110 $30,779.00 $20,006.35 35% off $392.00 $30,779.00 $28,713.73 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 28 — $59,691.66 $24,307.12 $68,835.77 $28,670.10 2026-03-31
310 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,minor 71 69 — — $8,212.55 $28,636.84 $28,636.84 2026-03-31
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,minor 73 70 — — $8,212.55 $28,351.63 $28,351.63 2026-03-31
263 MS_DRG Vein Ligation And Stripping 29 28 — $32,681.40 $23,859.95 $67,596.10 $28,153.77 2026-03-31
SUP-870892 CDM Conduit Konect Resilia Aortic Vlv 21mm 113 110 $30,000.00 $19,500.00 35% off $392.00 $30,000.00 $27,987.00 2026-03-31
SUP-831750 CDM Centrifuge Angel US 113 110 $30,000.00 $19,500.00 35% off $392.00 $30,000.00 $27,987.00 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 31 30 — $36,884.11 $23,227.83 $65,843.62 $27,983.54 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 29 28 — $40,621.63 $23,671.09 $67,072.49 $27,935.69 2026-03-31
SUP-754168 CDM Coil Web Sngl Layer 4x3 113 110 $29,900.00 $19,435.00 35% off $392.00 $29,900.00 $27,893.71 2026-03-31
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 19 19 — $35,199.42 $27,282.63 $66,814.61 $27,828.28 2026-03-31
134 APR_DRG Pulmonary Embolism,minor 215 70 — — $4,582.68 $53,999.55 $27,791.78 2026-03-31
263 APR_DRG Cholecystectomy,minor 145 70 — — $8,212.55 $35,077.75 $27,672.94 2026-03-31
137 APR_DRG Major Respiratory Infections And Inflammations,major 145 70 — — $8,212.55 $51,064.89 $27,649.18 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 31 30 — $34,440.53 $22,633.16 $64,195.01 $27,282.88 2026-03-31
651 APR_DRG Other Procedures Of Blood And Blood-forming Organs,minor 73 70 — — $8,212.55 $27,274.18 $27,274.18 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 31 30 — $21,704.28 $22,533.27 $63,918.12 $27,165.20 2026-03-31
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 19 19 — $22,610.18 $26,592.74 $65,125.08 $27,124.60 2026-03-31
570 MS_DRG Skin Debridement With Mcc 29 28 — $16,285.01 $22,952.34 $65,079.91 $27,105.78 2026-03-31
24 APR_DRG Open Extracranial Vascular Procedures,minor 73 70 — — $8,212.55 $27,062.92 $27,062.92 2026-03-31
SUP-960431 CDM Cage Spinal 5mm 3deg Lg Ti Interbody Syst Cerv Lordotic 113 110 $29,000.00 $18,850.00 35% off $392.00 $29,000.00 $27,054.10 2026-03-31
SUP-973920 CDM Stent Ped3-021-250-16 V03 Vantage 113 110 $28,940.00 $18,811.00 35% off $392.00 $28,940.00 $26,998.13 2026-03-31
SUP-973944 CDM Stent Ped3-027-450-16 V03 Vantage 113 110 $28,940.00 $18,811.00 35% off $392.00 $28,940.00 $26,998.13 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 29 28 — $16,231.26 $22,787.68 $64,623.38 $26,915.64 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 29 28 — $34,964.64 $22,727.59 $64,456.80 $26,846.26 2026-03-31
253 APR_DRG Other And Unspecified Gastrointestinal Hemorrhage,major 73 70 — — $8,212.55 $26,756.59 $26,756.59 2026-03-31
223 APR_DRG Other Small And Large Bowel Procedures,minor 145 70 — — $8,212.55 $40,478.18 $26,756.59 2026-03-31
364 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures,minor 217 70 — — $7,773.01 $42,720.22 $26,751.30 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 29 28 — $27,282.16 $22,522.34 $63,887.81 $26,609.27 2026-03-31
J9600 HCPCS Porfimer 2.5 Mg/ml Inj 113 110 $63,120.00 $63,120.00 $392.00 $63,120.00 $26,588.22 2026-03-31
C1820 HCPCS Expedium Pre-lordosed Rod W Line 30mm 3,649 111 $32,000.00 $20,800.00 35% off $20.39 $53,491.54 $26,587.65 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 29 28 — $30,597.15 $22,489.57 $63,796.92 $26,571.42 2026-03-31
SUP-754185 CDM Coil Web Sngl Layer 10x5 113 110 $28,405.00 $18,463.25 35% off $392.00 $28,405.00 $26,499.02 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 29 28 — $39,315.41 $22,399.04 $63,545.95 $26,466.89 2026-03-31
SUP-960250 CDM Cage Spinal 12x14x6x3.94x8.5mm 0deg Peek Gry Cerv Interbody 113 110 $28,350.00 $18,427.50 35% off $392.00 $28,350.00 $26,447.72 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 28 — $17,077.09 $22,245.30 $63,119.76 $26,289.38 2026-03-31
C1882 HCPCS Defib Resonate Hf Crt-d 3,307 111 $29,575.22 $19,223.89 35% off $50.50 $50,000.00 $26,268.60 2026-03-31
SUP-220772 CDM Device Embol 4.25x25 Pipeline 113 110 $28,140.00 $18,291.00 35% off $392.00 $28,140.00 $26,251.81 2026-03-31
143 APR_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,m… 73 70 — — $8,212.55 $26,246.91 $26,246.91 2026-03-31
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 142 136 $66,330.00 $66,330.00 $317.43 $66,330.00 $25,912.80 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 31 30 — $37,204.63 $21,450.85 $60,917.28 $25,889.84 2026-03-31
L8614 HCPCS Processor Dual Nucleus 6 Please Specify Components 1,255 111 $30,608.00 $19,895.20 35% off $392.00 $36,924.00 $25,889.84 2026-03-31
503 MS_DRG Foot Procedures With Mcc 29 28 — $23,668.81 $21,781.74 $61,834.63 $25,754.12 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 29 28 — $22,632.36 $21,631.91 $61,419.24 $25,581.11 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 29 28 — $54,326.78 $21,445.39 $60,902.16 $25,365.75 2026-03-31
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 142 136 $73,182.85 $73,182.85 $392.00 $73,182.85 $25,350.93 2026-03-31
382 APR_DRG Malignant Breast Disorders,major 210 70 — — $392.00 $37,533.69 $25,343.76 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 29 28 — $13,568.07 $21,334.58 $60,594.91 $25,237.78 2026-03-31
92 MS_DRG Other Disorders Of Nervous System With Cc 19 19 — $10,825.49 $24,683.30 $60,448.90 $25,176.97 2026-03-31
33230 CPT Hc Insertion Implantable Defibrillator Pulse Generator Only With Existing Dual L… 129 125 $54,911.00 $35,692.15 35% off $392.00 $63,978.62 $25,154.21 2026-03-31
0408T CPT Hc Insertion/Replacement Cardiac Modulation System Pulse Generator With Transven… 133 127 $44,381.00 $28,847.65 35% off $392.00 $90,282.97 $25,154.21 2026-03-31
33262 CPT Pr Removal/Repl Implantable Defibrillator Pg W/Lead Single Lead System 129 125 $45,166.00 $29,357.90 35% off $392.00 $63,978.62 $25,154.21 2026-03-31
33240 CPT Hc Insertion Implantable Defibrillator Pulse Generator Only With Existing Single… 129 125 $31,987.00 $20,791.55 35% off $392.00 $63,978.62 $25,154.21 2026-03-31
33263 CPT Pr Removal/Replacement Implantable Defibrillator Pg W/Lead Dual Lead System 129 125 $45,166.00 $29,357.90 35% off $392.00 $63,978.62 $25,154.21 2026-03-31
243 APR_DRG Other Esophageal Disorders,major 73 70 — — $8,212.55 $25,106.09 $25,106.09 2026-03-31
SUP-220790 CDM Device Embol 4.75x25 Pipeline 113 110 $26,800.00 $17,420.00 35% off $392.00 $26,800.00 $25,001.72 2026-03-31
SUP-215833 CDM Device Embolization 3x25mm Pipeline Strl 113 110 $26,800.00 $17,420.00 35% off $392.00 $26,800.00 $25,001.72 2026-03-31
206 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure,m… 70 68 — — $13,446.93 $24,987.25 $24,987.25 2026-03-31
45 APR_DRG Cva And Precerebral Occlusion With Infarction,moderate 145 70 — — $7,674.71 $33,284.64 $24,865.77 2026-03-31
513 APR_DRG Gynecologic Procedures Without Malignancy,minor 145 70 — — $8,212.55 $29,780.30 $24,739.01 2026-03-31
37294 CPT Hc Revascularization Endovascular Tibial&Pero Terr W/Tl Stnt & Atherect Uni Comp… 207 101 $26,363.00 $17,135.95 35% off $392.00 $39,545.00 $24,594.04 2026-03-31
37295 CPT Hc Revascularization Endovascular Tib&Pero Terr W/Tl Stnt & Atherect Uni Cmplx L… 207 101 $39,545.00 $25,704.25 35% off $392.00 $39,545.00 $24,594.04 2026-03-31
37290 CPT Hc Revascularization Endovascular Tibial&Pero Terr W/Transluminal Ath Uni Comple… 236 127 $26,363.00 $17,135.95 35% off $392.00 $52,726.81 $24,594.04 2026-03-31
37288 CPT Pr Revas Envsc Opn/Perc Tbl & Pernl Vasc Terr W/Tl Ath Uni Stfrw Init Ves 207 101 $26,363.00 $17,135.95 35% off $392.00 $39,545.00 $24,594.04 2026-03-31
37286 CPT Hc Revascularization Endovascular Tibial&Pero Terr W/Transluminal Stnt Uni Compl… 207 101 $26,363.00 $17,135.95 35% off $392.00 $39,545.00 $24,594.04 2026-03-31
37292 CPT Hc Revascularization Endovascular Tibial&Pero Terr W/Tl Stnt & Atherect Uni Strg… 207 101 $26,363.00 $17,135.95 35% off $392.00 $39,545.00 $24,594.04 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 29 28 — $26,385.61 $20,686.06 $58,797.07 $24,488.98 2026-03-31
SUP-220733 CDM Device Embol 3.25x16 Pipeline 113 110 $26,250.00 $17,062.50 35% off $392.00 $26,250.00 $24,488.63 2026-03-31
37277 CPT Hc Revascularization Endovascular Fem-pop Terr W/Tl Stnt & Ath & Ath Uni Complex… 207 101 $26,035.00 $16,922.75 35% off $392.00 $39,053.00 $24,288.05 2026-03-31
37275 CPT Hc Revascularization Endovascular Fem-pop Terr W/Tl Stnt & Ath & Ath Uni Strfwd … 236 127 $26,035.00 $16,922.75 35% off $392.00 $52,726.81 $24,288.05 2026-03-31
C1605 HCPCS Pacemaker Leadless 19.5f 32.2mm Ra 115 111 $26,006.00 $16,903.90 35% off $392.00 $26,006.00 $24,261.00 2026-03-31
SUP-886127 CDM Cannula Angiovac 20d Dilator P 113 110 $26,000.00 $16,900.00 35% off $392.00 $26,000.00 $24,255.40 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 31 30 — $19,195.96 $19,923.61 $56,683.30 $24,090.40 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 29 28 — $35,223.58 $20,256.06 $57,604.94 $23,992.46 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 31 30 — $17,941.62 $19,829.18 $56,421.48 $23,979.13 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 29 28 — $11,966.97 $20,156.17 $57,328.01 $23,877.12 2026-03-31
37225 CPT Pr Revas/Envasc/Open Femoral/Popliteal Art W/Atherectomy Incl Angio Uni 278 134 $31,986.00 $24,948.95 22% off $120.61 $38,383.00 $23,871.98 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 19 — $40,291.74 $23,377.13 $57,250.10 $23,844.67 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 19 19 — $38,736.52 $23,377.13 $57,250.10 $23,844.67 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 31 30 — $35,122.95 $19,697.30 $56,055.86 $23,823.74 2026-03-31
811 APR_DRG Allergic Reactions,major 73 70 — — $8,212.55 $23,614.03 $23,614.03 2026-03-31
SUP-960397 CDM Cage Spinal 22x8.5x16mm Ti Cx Vertebral Pors Cascadia 113 110 $25,226.00 $16,396.90 35% off $392.00 $25,226.00 $23,533.34 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 31 30 — $23,701.09 $19,446.79 $55,361.35 $23,528.57 2026-03-31
519 APR_DRG Gynecologic Procedures For Leiomyoma,minor 145 70 — — $8,212.55 $29,730.13 $23,394.85 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 31 30 — $17,123.52 $4,000.00 $56,032.06 $23,337.35 2026-03-31
SUP-220710 CDM Device Embolization 2.5x12mm Pipeline Bare-metal Flex Aneu 113 110 $25,000.00 $16,250.00 35% off $392.00 $25,000.00 $23,322.50 2026-03-31
SUP-220798 CDM Device Embolization 5x20mm Pipeline Bare-metal Flex Aneu Lf 113 110 $25,000.00 $16,250.00 35% off $392.00 $25,000.00 $23,322.50 2026-03-31
SUP-220744 CDM Device Embol 3.5x20mm Pipeline 113 110 $25,000.00 $16,250.00 35% off $392.00 $25,000.00 $23,322.50 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 31 30 — $19,994.11 $19,186.13 $54,638.78 $23,221.48 2026-03-31
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 19 19 — $29,197.09 $22,724.84 $55,652.66 $23,179.33 2026-03-31
426 APR_DRG Non-hypovolemic Sodium Disorders,major 73 70 — — $8,212.55 $23,075.31 $23,075.31 2026-03-31
773 APR_DRG Opioid Abuse And Dependence,minor 217 70 — — $4,522.85 $42,456.14 $22,879.89 2026-03-31
37231 CPT Hc Revascularization/Endovascular/Open/Perc Tibial/Peronal Artery Init Vessel At… 249 122 $24,517.00 $15,936.05 35% off $392.00 $36,776.00 $22,871.91 2026-03-31
SUP-970766 CDM Set Tubing Cardiovasc Proc Kit Bld Syst Vein 50-70cm 113 110 $24,481.00 $15,912.65 35% off $392.00 $24,481.00 $22,838.32 2026-03-31
SUP-970768 CDM Vein Saphns 85cm Or Greater A B Ab O Bld Type 113 110 $24,481.00 $15,912.65 35% off $392.00 $24,481.00 $22,838.32 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 29 28 — $27,946.49 $19,191.60 $54,653.90 $22,763.35 2026-03-31
52 APR_DRG Alteration In Consciousness,major 73 70 — — $8,212.55 $22,718.80 $22,718.80 2026-03-31
SUP-901208 CDM Set Circuit Adv Hls Beq-hls 7050 7.0 113 110 $24,308.00 $15,800.20 35% off $392.00 $24,308.00 $22,676.93 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 31 30 — $25,083.30 $18,707.75 $53,312.52 $22,657.82 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 29 28 — $24,197.87 $9,750.00 $54,329.38 $22,628.19 2026-03-31
SUP-755515 CDM Coil Pulserider T Shp 3.5-4.5mm 10.6mm Arch Wdth 113 110 $24,250.00 $15,762.50 35% off $392.00 $24,250.00 $22,622.83 2026-03-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 29 28 — $30,638.73 $19,051.91 $54,266.64 $22,602.06 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 31 30 — $30,340.49 $18,623.47 $53,078.88 $22,558.52 2026-03-31
SUP-226165 CDM Vale Heart Intuity Elite 21mm 113 110 $24,000.00 $15,600.00 35% off $392.00 $24,000.00 $22,389.60 2026-03-31
SUP-226164 CDM Vale Heart Intuity Elite 19mm 113 110 $24,000.00 $15,600.00 35% off $392.00 $24,000.00 $22,389.60 2026-03-31
41 APR_DRG Nervous System Malignancy,major 3 2 — — $13,415.82 $27,509.67 $22,183.35 2026-03-31
794 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment,minor 145 70 — — $8,212.55 $28,364.68 $21,942.41 2026-03-31
949 MS_DRG Aftercare With Cc/mcc 19 19 — $25,352.21 $21,510.94 $52,679.86 $21,941.16 2026-03-31
774 APR_DRG Cocaine Abuse And Dependence,moderate 73 70 — — $5,871.27 $21,916.00 $21,916.00 2026-03-31
344 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections,moderate 145 70 — — $8,212.55 $32,864.65 $21,749.63 2026-03-31
284 APR_DRG Disorders Of Gallbladder And Biliary Tract,moderate 212 70 — — $392.00 $30,057.59 $21,702.09 2026-03-31
SUP-224095 CDM Valve Aortic Heart 16mm Cryopreserved 113 110 $23,237.00 $15,104.05 35% off $392.00 $23,237.00 $21,677.80 2026-03-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 29 28 — $28,139.70 $18,250.43 $52,044.70 $21,676.62 2026-03-31
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 31 30 — $22,266.56 $4,000.00 $52,007.93 $21,661.30 2026-03-31
See an error in this hospital's data? Submit a correction